Organization and Summary of Accounting Policies (Tables)

3 Months Ended

Mar. 31, 2020

Organization, Consolidation and Presentation of Financial Statements [Abstract]

Schedule of Carrying Amounts and Fair Values of Long-Term Debt

A summary of the carrying amounts and estimated fair values of the Company's long-term debt follows (in millions):

	Carrying Amount				Fair Value
	March 31, 2020		December 31, 2019		March 31, 2020		December 31, 2019
Senior secured term loan	$	1,430.6	$	1,434.1	$	1,130.2	$	1,434.1
6.750% senior unsecured notes due 2025	$	370.0	$	370.0	$	268.7	$	368.2
10.000% senior unsecured notes due 2027	$	430.0	$	430.0	$	309.6	$	471.4

Schedule of Revenues by Service Type

A summary of revenues by service type as a percentage of total revenues follows:

	Three Months Ended March 31,
	2020		2019
Patient service revenues:
Surgical facilities revenues	94.7	%	93.8	%
Ancillary services revenues	3.9	%	4.7	%
	98.6	%	98.5	%
Other service revenues:
Optical services revenues	0.2	%	0.3	%
Other revenues	1.2	%	1.2	%
	1.4	%	1.5	%
Total revenues	100.0	%	100.0	%

The following table sets forth patient service revenues by type of payor and as a percentage of total patient service revenues for the Company's consolidated surgical facilities (dollars in millions):

	Three Months Ended March 31,
	2020				2019
	Amount		%		Amount		%
Patient service revenues:
Private insurance	$	226.0	52.0	%	$	215.3	52.4	%
Government	175.8		40.5	%	164.9		40.2	%
Self-pay	12.8		2.9	%	10.8		2.6	%
Other (1)	20.0		4.6	%	19.8		4.8	%
Total patient service revenues	434.6		100.0	%	410.8		100.0	%
Other service revenues:
Optical services revenues	0.8				1.1
Other revenues	5.6				4.9
Total revenues	$	441.0			$	416.8

(1) Other is comprised of anesthesia service agreements, automobile liability, letters of protection and other payor types.

Schedule of Rollforward of Goodwill

A summary of activity related to goodwill for the three months ended March 31, 2020 is as follows (in millions):

Balance at December 31, 2019	$	3,402.4
Acquisitions, including post acquisition adjustments	8.3
Divestitures and deconsolidations	(14.2		)
Balance at March 31, 2020	$	3,396.5

Schedule of Rollforward of Noncontrolling Interest - Redeemable

A summary of activity related to non-controlling interests—redeemable for the three months ended March 31, 2020 and 2019 is as follows (in millions):

	2020			2019
Balance at beginning of period	$	321.0		$	326.6
Net income attributable to non-controlling interests—redeemable	5.5			7.6
Acquisition and disposal of shares of non-controlling interests, net—redeemable	(1.6		)	(9.3		)
Distributions to non-controlling interest—redeemable holders	(9.1		)	(10.3		)
Balance at end of period	$	315.8		$	314.6